GENESIS HOUSE

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Company Details

Legal Name:	GENESIS HOUSE
Jurisdiction:	WASHINGTON
Entity Type:	WA NONPROFIT CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	February 8th 2024
Expiration date:	28 Feb 2026
UBI Number:	605 401 485
ZIP code:	98012
City:	Bothell
County:	SNOHOMISH
Home State:	WASHINGTON
Principal Office Street Address:	17422 54TH AVE SE, BOTHELL, WA, 98012-6716, UNITED STATES

Contact Details

E-Mail:	AARONFLINT5@YAHOO.COM
Phone Number:	+1 206-550-0551

Nature of Business

Charitable

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Registered Agent Information

Name	Role	Address
JOHN FLINT	Registered Agent	17422 54TH AVE SE, BOTHELL, WA, 98012-6716, UNITED STATES

Key Officers & Management

Name	Role	Address
JOHN FLINT	Governing Person	-
JOHN FLINT	Initial Board Of Director	17422 54TH AVE SE, BOTHELL, WA, 98012-6716, UNITED STATES
JOHN FLINT	Incorporator	17422 54TH AVE SE, BOTHELL, WA, 98012-6716, UNITED STATES

National Provider Identifier

NPI Number:

1134331077

Link:

View on NPI website

Authorized Person:

Name:

MR. JEFF BOTT

Role:

EXECUTIVE DIRECTOR

Phone:

2068602621

Taxonomy:

Selected Taxonomy:

324500000X - Substance Abuse Rehabilitation Facility

Is Primary:

Yes

Contacts:

Phone:

+1 206-860-2621

Fax:

2063235247

Form 5500 Series

Employer Identification Number (EIN):

910874756

Plan Year:

2014

Number Of Participants:

11

Plan Name:

401(K)

Sponsor's telephone number:

2063280881

File:

Plan Administrator / Signatory:

BARBARA PETTY(Plan administrator)

Plan Year:

2013

Number Of Participants:

10

Plan Name:

401(K)

Sponsor's telephone number:

2063280881

File:

Plan Administrator / Signatory:

BARBARA PETTY(Plan administrator)

Plan Year:

2012

Number Of Participants:

10

Plan Name:

401(K)

Sponsor's telephone number:

2063280881

File:

Plan Administrator / Signatory:

CATALIN MELINCIANU(Plan administrator)

Plan Year:

2011

Number Of Participants:

12

Plan Name:

401(K)

Sponsor's telephone number:

2068602622

File:

Plan Administrator / Signatory:

BARBARA PETTY(Plan administrator)

Plan Year:

2010

Number Of Participants:

16

Plan Name:

401(K)

Sponsor's telephone number:

2068602622

File:

Plan Administrator / Signatory:

JEFFERY BOTT(Plan administrator)

OSHA's Inspections within Industry

Inspection Summary

Date:

2007-12-17

Type:

Referral

Address:

13421 NE 20TH STREET SUITE C, BELLEVUE, WA, 98005

Safety Health:

Health

Scope:

Complete

Inspection Link:

View Inspection data on OSHA website

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